What is an important nursing consideration when caring for a patient with skin traction?
Elevating the affected limb above heart level to reduce edema.
Avoiding weight adjustments in the traction without the healthcare provider's order.
Keeping the adhesive straps or wraps clean and dry to prevent infection.
Encouraging active range of motion exercises for the affected limb.
The Correct Answer is B
Adjusting the weight used in skin traction without a healthcare provider's order can lead to complications or improper alignment of the fractured bone. Weight adjustments should only be made based on the healthcare provider's instructions.
a. Elevating the affected limb can help reduce edema but may not be specific to skin traction care.
c. Keeping the adhesive straps or wraps clean and dry is essential to prevent skin breakdown and infection, but it is not the primary nursing consideration related to traction.
d. Encouraging active range of motion exercises is not recommended while the patient is in skin traction, as it may disrupt the traction's stabilizing effect on the fractured bone. Passive range of motion exercises may be performed as appropriate, with the healthcare provider's approval.
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Related Questions
Correct Answer is D
Explanation
Engaging in regular communication to discuss the patient's progress demonstrates effective nursing collaboration. This allows the nurse and physical therapist to coordinate care, make adjustments to the treatment plan, and ensure the best possible outcomes for the patient.
a. Taking over the physical therapist's treatment plan without discussion is not collaborative and can lead to misunderstandings and conflicts between the nurse and the physical therapist.
b. Providing the physical therapist with outdated patient information can compromise the patient's care and is not conducive to effective collaboration.
c. Scheduling therapy sessions at a convenient time for the nurse disregards the needs and progress of the patient, which is not a collaborative approach.
Correct Answer is B
Explanation
Inadequate traction can lead to improper alignment, uneven pressure distribution, and increased risk of pressure ulcers. The nurse should ensure that the traction is appropriately applied to prevent complications.
a. Decreased muscle spasms may be a positive effect of adequate traction. However, inadequate traction does not necessarily lead to increased muscle spasms.
c. Improved circulation in the affected limb is a potential benefit of proper skin traction, not a complication of inadequate traction.
d. Faster healing of the injured limb is a desired outcome of effective traction. Inadequate traction may delay healing rather than promote it.
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